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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">grekov</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник хирургии имени И.И. Грекова</journal-title><trans-title-group xml:lang="en"><trans-title>Grekov's Bulletin of Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0042-4625</issn><issn pub-type="epub">2686-7370</issn><publisher><publisher-name>Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/0042-4625-2021-180-1-94-99</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-1613</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OBSERVATION FROM PRACTICE</subject></subj-group></article-categories><title-group><article-title>Использование прямого ингибитора тромбина для интраоперационной антикоагуляции при эндопротезировании брюшной аорты у пациента с гепарин-индуцированной тромбоцитопенией</article-title><trans-title-group xml:lang="en"><trans-title>Use of a direct thrombin inhibitor for intraoperative anticoagulation during endovascular abdominal aortic aneurysm repair in a patient with heparin-induced thrombocytopenia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6908-7472</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Комлев</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Komlev</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Комлев Алексей Евгеньевич - кардиолог отдела сердечно-сосудистой хирургии.</p><p>121552, Москва, ул. 3-я Черепковская, д. 15а</p></bio><bio xml:lang="en"><p>Komlev Alexey E. - Cardiologist of the Department of Cardiovascular Surgery.</p><p>15a, 3rd Cherepkovskaya, Moscow, 121552</p></bio><email xlink:type="simple">pentatonika@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0035-0794</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ромакина</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Romakina</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ромакина Валентина Васильевна, кардиолог отдела сердечно-сосудистой хирургии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Romakina Valentina V. - Cardiologist of the Department of Cardiovascular Surgery.</p><p>Moscow</p></bio><email xlink:type="simple">dr513@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5736-5698</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Имаев</surname><given-names>Т. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Imaev</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Имаев Тимур Эмвярович - доктор медицинских наук, сердечно-сосудистый хирург, главный научный сотрудник отдела сердечно-сосудистой хирургии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Imaev Timur E. - Dr. of Sci. (Med.), Cardiovascular Surgeon, Chief Research Fellow of the Department of Cardiovascular Surgery.</p><p>Moscow</p></bio><email xlink:type="simple">imaev.timur@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5054-1310</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колегаев</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolegaev</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Колегаев Александр Сергеевич - кандидат медицинских наук, сердечно-сосудистый хирург, научный сотрудник отдела сердечно-сосудистой хирургии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Kolegaev Alexandr S. 0 Cand. of Sci. (Med.), Cardiovascular Surgeon, Research Fellow of the Department of Cardiovascular Surgery..</p><p>Moscow</p></bio><email xlink:type="simple">kolegaev-as@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7691-9185</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кучин</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuchin</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кучин Иван Владимирович - сердечно-сосудистый хирург.</p><p>Москва</p></bio><bio xml:lang="en"><p>Kuchin Ivan V. - Cardiovascular Surgeon.</p><p>Moscow</p></bio><email xlink:type="simple">ivankuchin@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2105-8258</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акчурин</surname><given-names>Р. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Akchurin</surname><given-names>R. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Акчурин Ренат Сулейманович - доктор медицинских наук, профессор, академик РАН, руководитель отдела сердечно-сосудистой хирургии.</p><p>Москва</p></bio><bio xml:lang="en"><p>Akchurin Renat S. - Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head of the Department of Cardiovascular Surgery.</p><p>Moscow</p></bio><email xlink:type="simple">rsakchurin@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение Национальный медицинский исследовательский центр кардиологии Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Cardiology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>02</day><month>06</month><year>2021</year></pub-date><volume>180</volume><issue>1</issue><fpage>94</fpage><lpage>99</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Комлев А.Е., Ромакина В.В., Имаев Т.Э., Колегаев А.С., Кучин И.В., Акчурин Р.С., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Комлев А.Е., Ромакина В.В., Имаев Т.Э., Колегаев А.С., Кучин И.В., Акчурин Р.С.</copyright-holder><copyright-holder xml:lang="en">Komlev A.E., Romakina V.V., Imaev T.E., Kolegaev A.S., Kuchin I.V., Akchurin R.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vestnik-grekova.ru/jour/article/view/1613">https://www.vestnik-grekova.ru/jour/article/view/1613</self-uri><abstract><p>Представлен краткий обзор литературы и собственный опыт использования Бивалирудина в качестве альтернативного интраоперационного антикоагулянта при операции эндопротезирования аневризмы брюшной аорты у пациента с гепарин-индуцированной тромбоцитопенией 2-го типа.</p></abstract><trans-abstract xml:lang="en"><p>In the issue the authors report brief literature review and the case of use of bivalirudin as an alternative intraoperative anticoagulant for endovascular abdominal aortic aneurysm repair in a patient with heparin-induced thrombocytopenia.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>гепарин-индуцированная тромбоцитопения</kwd><kwd>эндопротезирование брюшной аорты</kwd><kwd>интраоперационная антикоагуляция</kwd><kwd>прямые ингибиторы тромбина</kwd></kwd-group><kwd-group xml:lang="en"><kwd>heparin-induced thrombocytopenia</kwd><kwd>endovascular abdominal aortic aneurysm repair</kwd><kwd>intraoperative anticoagulation</kwd><kwd>direct thrombin inhibitors</kwd><kwd>bivalirudin</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Arepally G. 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